Organization
OHANA GRESHAM OPERATIONS LLC
Active
Other names
Stephanie Gardens Residential Care
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW HILTY (PRESIDENT)
(503) 789-5345
Entity
Organization
Contact information
Practice address
19751 SE STARK ST, PORTLAND, OR 97233-6037
(503) 789-5345
Mailing address
352 NW 2ND AVE, CANBY, OR 97013-3626
(503) 789-5345
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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